›› 2013, Vol. 33 ›› Issue (12): 834-837.

• 基础与临床研究 • 上一篇    下一篇

两种不同牙尖斜度人工牙全口义齿咀嚼功能的初步研究

薛强1,柳麟翔1,唐丽琴1,陈键2   

  1. 1. 无锡口腔医院
    2. 无锡口腔医
  • 收稿日期:2013-07-02 修回日期:2013-07-18 出版日期:2013-12-28 发布日期:2014-01-02
  • 通讯作者: 薛强 E-mail:273542842@qq.com

A preliminary study of the masticatory function between two artificial teeth dentures with different inclinations of cusp

  • Received:2013-07-02 Revised:2013-07-18 Online:2013-12-28 Published:2014-01-02

摘要: 目的 半解剖式(20°)人工牙及非解剖式(0°)人工牙全口义齿为修复上、下牙列缺失常见方法。分析戴用上述两类全口义齿咀嚼功能的表现及差异。方法 选取平均年龄68.7岁的无牙颌患者7例,设计同一基托、不同人工后牙牙尖斜度(20°、0°)总义齿,于戴义齿当天采用吸光度法测定咀嚼效率,并对患者戴用总义齿后颞肌前束(TA)、咬肌(MM)不同状态下肌电表现进行描记。结果 戴用20°人工牙总义齿咀嚼效率较0°组高(P<0.05)。戴用0°人工牙总义齿咀嚼花生时肌电活动较20°组高(P<0.05)。咀嚼效率和TA、MM肌电活动成正比。结论 戴用20°人工牙总义齿咀嚼一定硬度食物时较0°组可获得较好的咀嚼效率且咀嚼肌更为省力。

关键词: 总义齿, 咀嚼效率, 肌电活动, complete denture, masticatory efficiency, myelectric activity

Abstract: Objective Semi-anatomic (20°) artificial teeth complete denture and non-anatomic (0°) artificial teeth complete denture were the common methods to repair the upper and lower dentition defect. We will observe and compare the masticatory function of the two types of complete denture. Methods 7(5 males&2 females) volunteered edentulous patients about 68.7 years old on average were selected for our study and two complete dentures of the same base, but different Posterior cusp inclinations (20°, 0°) were designed. The masticatory efficiency was measured by the Absorbance method on the day when patients wore the denture and the myoelectric manifestations of TA and MM were scanned after that. Results The mean masticatory efficiency of 0°complete denture is lower than 20°complete denture (P<0.05). The EMG activity of 0° group was more active than the 20° group when chewing peanut (P<0.05). The masticatory efficiency was in proportion to the TA, MM EMG activity. Conclusions When chewing food with certain hardness, better masticatory efficiency can be achieved with 20°complete denture and the work of the masticatory muscles can be easier.

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